NEMSIS Data Dictionary

Transcription

1 EMI Data Dictionary HTA v3.4.0 Build Critical Patch 2 EM Data tandard ational Elements Only Version Date: July 13, 2016 Funded by ational Highway Traffic afety Administration (HTA) Office of Emergency Medical ervices

2

3 EMI Data Dictionary Version EMI Overview and ummary The EMI data dictionary was developed through a collaborative effort with the EM industry including: web-based reviews, public comment periods, focus groups, industry dialogue, topic focused projects, and consensus. The ational EM Information ystem Version 3 represents a major revision from version 2 released in Adopting a broad perspective, the initiative to move to a 3rd version of the EMI data dictionary was fueled by the need to improve data quality, enhance our ability to assess EM performance, augment the flexibility of the standard for state adoption and, to move the EMI standard into the Health Level 7 (HL7) organization for approval as an American ational tandards Institute (AI) standard. EMI Version 3 Element Configuration from v2.2.1 EMI Version 3 Element Configuration Total Elements including the Custom Elements: 585 Excluding the Demographic and EM (epc) Custom Elements: 561 EMI Version Data Dictionary Content **ote: The numbers to the right of the content listed below represent the location for each element on the ample Page of the Data Dictionary (page vi). Data Element umber (#1) The EMI Version 3 element numbering system has been revised to improve the information that can be derived from just the data element number. An example of a data element number is dagency.01. The data element number begins with either a "d" representing the demographic (agency) section or an "e" representing the EM PC section. A one word descriptor for each section is now included in the data element number. Published: 07/13/ Page i

4 A period separates the section (e.g. dagency) from the data element number (e.g. 01). Data Element ame (#3) The name for the data element. ational and tate Element Indicator (#2, #5, #6) ational = Yes, is an indication that the data element is required to be collected: at the local EM agency level and submitted to the state tate = Yes, is an indication that the data element is recommended to be collected at the "tate" level. Data Element (#4) The definition for the data element. Version 2 umber (#7) The EMI Version Data Element umber. If the Data Element is new to Version 3.4.0, the Version 2 umber will be blank. Data tructure Information ecurrence (#12) Indication that the data element can have more than one value. epresented by two characters separated by a colon. The configuration includes: 0:1 = element is not required and can occur only once 0:M = element is not required and can repeat multiple times 1:1 = element is required and can occur only once 1:M = element is required and can repeat multiple times Usage (#8) Indication of when the data element is expected to be collected. Mandatory = Must be completed and does not allow for OT values equired = Must be completed and allows OT values ecommended = Does not need to be completed and allows OT values Optional = Does not need to be completed and does not allow for OT values OT Value Characteristics (#10) Indication that the data element can have OT values. OT Values are used (where permitted) to document that a data element was not applicable to the EM response / request for service, was not or could not be completed. OT Values are documented as "an attribute" of an element. It allows the documentation of OT value when a "real" value is not documented. (Please reference the EMI White Paper describing the use of OT Values, Pertinent egatives, and ill.) OT Values Accepted (#14) Indication of which of the following three OT values is acceptable. ot all data elements accept OT values. OT Values have been condensed in Version 3. ot Applicable = The data element is not applicable or pertinent to the EM event. ot ecorded = The data element is considered applicable to the EM event, but was left blank. The EM software should auto-populate it with Published: 07/13/ Page ii

5 "ot ecorded". ot eporting = The data element is not collected by the EM agency or state. This OT value does not apply to ational elements where "Usage = equired". Pertinent egative Values (P) (#9, #14) A list of Pertinent egative Values which can be associated with a data element. ot all data elements accept Pertinent egative Values. Pertinent egative Values are documented as "an attribute" of an element. It allows the documentation of pertinent negative value in addition to the documentation of a "real" value. (Please reference the EMI White Paper describing the use of OT Values, Pertinent egatives, and ill.) Example of use: Example #1 - Aspirin Administration: If the medication Aspirin is part of the agency protocol for Chest Pain but was not administered by the responding crew, the reason why should be documented. This is done through the use of Pertinent egative Values. If the patient took the Aspirin prior to the EM arrival on scene, the value "Medication Already Taken" should be documented in addition to "Aspirin". Is illable (#11) Indication that the element can accept a "blank" value. If the element is left "blank" the software must submit an appropriate value of one of the two attributes: Pertinent egative or OT Values. (#13) Indication that the data element has value in describing, defining, or measuring EM from a performance perspective. Performance Measures can be associated with EM service delivery, patient care, or both. The following service delivery or time dependent illness/injury performance measure topics have been included in EMI Version 3: Airway - Airway Management Cardiac Arrest - Out of Hospital Cardiac Arrest Pediatric - Acute Pediatric Care esponse - EM esponse Time TEMI - T Elevation Myocardial Infarction (TEMI) troke - Acute troke Care Trauma - Acute Injury/Trauma Care (#14) An attribute provides extra information within an element. For information related to the first three attributes please see the EMI document 'How to Utilize EMI V3 "OT values/pertinent negatives/nillable"'. The following are possible attributes: P (Pertinent egative) Contraindication oted Denied By Order Exam Finding ot Present Medication Allergy Medication Already Taken o Known Drug Allergy one eported ot Performed by EM efused Published: 07/13/ Page iii

6 Unresponsive Unable to Complete V (ot Value) ot Applicable ot ecorded ot eporting illable xsi:nil="true" Code Type = o = Yes, Prior to EM Arrival = Yes, After EM Arrival CorrelationID Data Type = tring minlength = 0 maxlength = 255 DistanceUnit Kilometers Miles AddressType Personal Work nemsiscode Data Type = tring nemsiselement Data Type = tring nemsisvaluedescription Data Type = tring PhoneumberType Fax Home Mobile Pager Work ProcedureGroupCorrelationID Date Type = CorrelationID treetaddress2 Data Type = tring minlength = 1 maxlength = 255 Published: 07/13/ Page iv

7 TIMETAMP Data Type = DateTime minvalue = T00:00:00-00:00 maxvalue = T00:00:00-00:00 VelocityUnit Kilometers per Hour Miles per Hour Code List (#16) A list of values associated with the data element. ot all data elements have predefined value sets. Codes for each value: The codes are based on a 7-digit number, in a pattern (without dashes). The first set of two numbers represent the data section The second set of two numbers represent the element number The last set is a 3-digit number for each value beginning at 001; The codes increase in increments of two (2). Codes are typically sequential (by two) and alphabetical. ome ordering is provided in an effort to present information based on workflow. everal values and codes reference external standards such as ICD-10, xorm, OMED, etc. EMI will assist in providing a recommended list of EM specific values and codes from these larger standards for most elements using these external standards. Data Element Editorial Comments (#17) Comments are provided to describe additions, changes, clarifications, or provide additional insight into the data element. Version 3 Changes Implemented (#18) Comments providing insight into specific Version 3 changes such as new or revised data elements. Element Deprecated(#19) Elements that are signified as "deprecated" will be removed from a future version of the EMI standard. Their use should now be avoided, but will be supported until they are removed from the standard. EMI Version Change ummary EMI Version 3 includes several new types of information to better describe EM from an industry, workforce, EM service delivery, and patient care perspective. Examples of new Version 3 content include: Demographic (Agency) Content EM Agencies can list more than one state in which they offer EM service delivery. EM Agencies can indicate multiple Agency numbers. Multiple EM Agency contacts can now be managed within the Demographic ection. EM Agency Location and GI information has been enhanced. EM Professional and Workforce information has been enhanced. EM (PC) Content Published: 07/13/ Page v

8 EM Crew level information has been enhanced cene location information has been enhanced to improve geo-coding and location analysis. Provider Impression (diagnosis), ymptoms, Cause of Injury, Medical/urgical History, and Incident Location are now based on ICD-10. Procedures are now based on OMED. Medications are now stored using the xorm standard Cardiac Arrest information has been enhanced to add focus on CP and post arrest cooling. Automated Collision otification information has been included. The data elements required to document and evaluate the CDC Field Triage Algorithm for trauma have been included. Vital ign and patient monitoring information have been enhanced A new section for Laboratory and Diagnostic Imaging results has been added. The Exam section has been reconfigured to improve documentation and ease of use. Much of the medical device information has been mapped into the vital sign section for direct import via the XML standard. Inclusion of electronic signatures and external electronic documents. An Airway section has been added to better document and evaluate airway management. Improved Work elated Illness and Injury documentation capability. Disposition information has been enhanced especially associated with pecialty Centers and time dependent illness/injury ystems of Care. EM esponse and Transport Modes have been enhanced to better define emergent, non-emergent, scheduled, and non-scheduled variation. Additional EM esponse and Transport Mode Descriptors have been added to allow for documentation of Lights and irens Use and Intersection avigation tools. The Payment/Billing section has been greatly expanded to meet current electronic billing requirements. Outcome information has been expanded to include additional Emergency Department and Hospital Outcome information (often obtained through linkage). General Improvements Version 3 content has focused on objective performance measures to better describe and evaluate EM service delivery and patient care. tate level configuration and customized data elements have been enhanced without changing the EMI Version 3 tandard. Published: 07/13/ Page vi

9 Published: 07/13/ Page vii

10 Table of Contents DEMDataet 1 DEMDataet Grouping 2 EMDataet 3 EMDataet Grouping 4 dagency 5 dagency Grouping 6 dagency.01 - EM Agency Unique tate ID 7 dagency.02 - EM Agency umber 8 dagency.04 - EM Agency tate 9 dagency.05 - EM Agency ervice Area tates 10 dagency.06 - EM Agency ervice Area County(ies) 11 dagency.07 - EM Agency Census Tracts 12 dagency.08 - EM Agency ervice Area ZIP Codes 13 dagency.09 - Primary Type of ervice 14 dagency.11 - Level of ervice 15 dagency.12 - Organization tatus 16 dagency.13 - Organizational Type 17 dagency.14 - EM Agency Organizational Tax tatus 18 dagency.15 - tatistical Calendar Year 19 dagency.16 - Total Primary ervice Area ize 20 dagency.17 - Total ervice Area Population 21 dagency EM Call Center Volume per Year 22 dagency.19 - EM Dispatch Volume per Year 23 dagency.20 - EM Patient Transport Volume per Year 24 dagency.21 - EM Patient Contact Volume per Year 25 dagency.25 - ational Provider Identifier 26 dagency.26 - Fire Department ID umber 27 dconfiguration 28 dconfiguration Grouping 29 dconfiguration.01 - tate Associated with the Certification/Licensure Levels 30 dconfiguration.02 - tate Certification/Licensure Levels 31 dconfiguration.03 - Procedures Permitted by the tate 32 dconfiguration.04 - Medications Permitted by the tate 33 dconfiguration.05 - Protocols Permitted by the tate 34 dconfiguration.06 - EM Certification Levels Permitted to Perform Each Procedure 37 dconfiguration.07 - EM Agency Procedures 38 dconfiguration.08 - EM Certification Levels Permitted to Administer Each Medication 39 dconfiguration.09 - EM Agency Medications 40 dconfiguration.10 - EM Agency Protocols 41 dconfiguration.11 - EM Agency pecialty ervice Capability 44 dconfiguration.13 - Emergency Medical Dispatch (EMD) Provided to EM Agency ervice Area 45 dconfiguration.15 - Patient Monitoring Capability(ies) 46 dconfiguration.16 - Crew Call ign 47

11 eecord 48 eecord Grouping 49 eecord.01 - Patient Care eport umber 50 eecord.02 - oftware Creator 51 eecord.03 - oftware ame 52 eecord.04 - oftware Version 53 eesponse 54 eesponse Grouping 55 eesponse.01 - EM Agency umber 56 eesponse.03 - Incident umber 57 eesponse.04 - EM esponse umber 58 eesponse.05 - Type of ervice equested 59 eesponse.07 - Primary ole of the Unit 60 eesponse.08 - Type of Dispatch Delay 61 eesponse.09 - Type of esponse Delay 62 eesponse.10 - Type of cene Delay 63 eesponse.11 - Type of Transport Delay 64 eesponse.12 - Type of Turn-Around Delay 65 eesponse.13 - EM Vehicle (Unit) umber 66 eesponse.14 - EM Unit Call ign 67 eesponse.15 - Level of Care of This Unit 68 eesponse.23 - esponse Mode to cene 69 eesponse.24 - Additional esponse Mode Descriptors 70 edispatch 71 edispatch Grouping 72 edispatch.01 - Complaint eported by Dispatch 73 edispatch.02 - EMD Performed 75 etimes 76 etimes Grouping 77 etimes.01 - PAP Call Date/Time 78 etimes.03 - Unit otified by Dispatch Date/Time 79 etimes.05 - Unit En oute Date/Time 80 etimes.06 - Unit Arrived on cene Date/Time 81 etimes.07 - Arrived at Patient Date/Time 82 etimes.09 - Unit Left cene Date/Time 83 etimes.11 - Patient Arrived at Destination Date/Time 84 etimes.12 - Destination Patient Transfer of Care Date/Time 85 etimes.13 - Unit Back in ervice Date/Time 86 epatient 87 epatient Grouping 88 epatient.07 - Patient's Home County 89 epatient.08 - Patient's Home tate 90 epatient.09 - Patient's Home ZIP Code 91 epatient.13 - Gender 92 epatient.14 - ace 93

12 epatient.15 - Age 94 epatient.16 - Age Units 95 epayment 96 epayment Grouping 97 epayment.01 - Primary Method of Payment 98 epayment.50 - CM ervice Level 99 ecene 100 ecene Grouping 101 ecene.01 - First EM Unit on cene 102 ecene.06 - umber of Patients at cene 103 ecene.07 - Mass Casualty Incident 104 ecene.08 - Triage Classification for MCI Patient 105 ecene.09 - Incident Location Type 106 ecene.18 - Incident tate 107 ecene.19 - Incident ZIP Code 108 ecene.21 - Incident County 109 eituation 110 eituation Grouping 111 eituation.01 - Date/Time of ymptom Onset 112 eituation.02 - Possible Injury 113 eituation.07 - Chief Complaint Anatomic Location 114 eituation.08 - Chief Complaint Organ ystem 115 eituation.09 - Primary ymptom 116 eituation.10 - Other Associated ymptoms 117 eituation.11 - Provider's Primary Impression 118 eituation.12 - Provider's econdary Impressions 119 eituation.13 - Initial Patient Acuity 120 einjury 121 einjury Grouping 122 einjury.01 - Cause of Injury 123 einjury.03 - Trauma Center Criteria 124 einjury.04 - Vehicular, Pedestrian, or Other Injury isk Factor 125 earrest 126 earrest Grouping 127 earrest.01 - Cardiac Arrest 128 earrest.02 - Cardiac Arrest Etiology 129 earrest.03 - esuscitation Attempted By EM 130 earrest.04 - Arrest Witnessed By 131 earrest.05 - CP Care Provided Prior to EM Arrival 132 earrest.07 - AED Use Prior to EM Arrival 133 earrest.09 - Type of CP Provided 134 earrest.11 - First Monitored Arrest hythm of the Patient 135 earrest.12 - Any eturn of pontaneous Circulation 136 earrest.14 - Date/Time of Cardiac Arrest 137 earrest.16 - eason CP/esuscitation Discontinued 138

13 earrest.17 - Cardiac hythm on Arrival at Destination 139 earrest.18 - End of EM Cardiac Arrest Event 141 ehistory 142 ehistory Grouping 143 ehistory.01 - Barriers to Patient Care 144 ehistory.17 - Alcohol/Drug Use Indicators 145 evitals 146 evitals Grouping 147 evitals.01 - Date/Time Vital igns Taken 148 evitals.02 - Obtained Prior to this Unit's EM Care 149 evitals.03 - Cardiac hythm / Electrocardiography (ECG) 150 evitals.04 - ECG Type 152 evitals.05 - Method of ECG Interpretation 153 evitals.06 - BP (ystolic Blood Pressure) 154 evitals.08 - Method of Blood Pressure Measurement 155 evitals.10 - Heart ate 156 evitals.12 - Pulse Oximetry 157 evitals.14 - espiratory ate 158 evitals.16 - End Tidal Carbon Dioxide (ETCO2) 159 evitals.18 - Blood Glucose Level 160 evitals.19 - Glasgow Coma core-eye 161 evitals.20 - Glasgow Coma core-verbal 162 evitals.21 - Glasgow Coma core-motor 163 evitals.22 - Glasgow Coma core-qualifier 164 evitals.26 - Level of esponsiveness (AVPU) 165 evitals.27 - Pain cale core 166 evitals.29 - troke cale core 167 evitals.30 - troke cale Type 168 evitals.31 - eperfusion Checklist 169 eprotocols 170 eprotocols Grouping 171 eprotocols.01 - Protocols Used 172 eprotocols.02 - Protocol Age Category 175 emedications 176 emedications Grouping 177 emedications.01 - Date/Time Medication Administered 178 emedications.02 - Medication Administered Prior to this Unit's EM Care 179 emedications.03 - Medication Given 180 emedications.05 - Medication Dosage 181 emedications.06 - Medication Dosage Units 182 emedications.07 - esponse to Medication 183 emedications.08 - Medication Complication 184 emedications.10 - ole/type of Person Administering Medication 185 eprocedures 186 eprocedures Grouping 187

14 eprocedures.01 - Date/Time Procedure Performed 188 eprocedures.02 - Procedure Performed Prior to this Unit's EM Care 189 eprocedures.03 - Procedure 190 eprocedures.05 - umber of Procedure Attempts 191 eprocedures.06 - Procedure uccessful 192 eprocedures.07 - Procedure Complication 193 eprocedures.08 - esponse to Procedure 194 eprocedures.10 - ole/type of Person Performing the Procedure 195 edisposition 196 edisposition Grouping 197 edisposition.05 - Destination tate 198 edisposition.06 - Destination County 199 edisposition.07 - Destination ZIP Code 200 edisposition.12 - Incident/Patient Disposition 201 edisposition.16 - EM Transport Method 202 edisposition.17 - Transport Mode from cene 203 edisposition.18 - Additional Transport Mode Descriptors 204 edisposition.19 - Final Patient Acuity 205 edisposition.20 - eason for Choosing Destination 206 edisposition.21 - Type of Destination 207 edisposition.22 - Hospital In-Patient Destination 208 edisposition.23 - Hospital Capability 209 edisposition.24 - Destination Team Pre-Arrival Alert or Activation 210 edisposition.25 - Date/Time of Destination Prearrival Alert or Activation 211 eoutcome 212 eoutcome Grouping 213 eoutcome.01 - Emergency Department Disposition 214 eoutcome.02 - Hospital Disposition 215 eother 216 eother Grouping 217 eother.05 - uspected EM Work elated Exposure, Injury, or Death 218

15 DEMDataet Published: 07/13/ Page 1

16 Legend Dataset Level: ational tate DEMDataet Usage: M = Mandatory, = equired, E = ecommended, or O = Optional : = ot Values, P = Pertinent egatives, L = illable, and/or C = Correlation ID 1 : M Demographiceport dagency dconfiguration DEMDataet Published: 07/13/ Page 2

17 EMDataet Published: 07/13/ Page 3

18 Legend Dataset Level: ational tate EMDataet Usage: M = Mandatory, = equired, E = ecommended, or O = Optional : = ot Values, P = Pertinent egatives, L = illable, and/or C = Correlation ID 1 : M Header DemographicGroup dagency.01 - EM Agency Unique tate ID M dagency.02 - EM Agency umber M dagency.04 - EM Agency tate M 1 : M PatientCareeport eecord eesponse edispatch etimes epatient epayment ecene eituation einjury earrest ehistory evitals eprotocols emedications eprocedures edisposition eoutcome EMDataet eother Published: 07/13/ Page 4

19 dagency Published: 07/13/ Page 5

20 Legend Dataset Level: ational tate D Deprecated dagency Usage: M = Mandatory, = equired, E = ecommended, or O = Optional : = ot Values, P = Pertinent egatives, L = illable, and/or C = Correlation ID dagency.01 - EM Agency Unique tate ID M dagency.02 - EM Agency umber M dagency.04 - EM Agency tate M 1 : M dagency.agencyervicegroup dagency.05 - EM Agency ervice Area tates M 1 : M dagency.06 - EM Agency ervice Area County(ies) M 1 : M dagency.07 - EM Agency Census Tracts, L 1 : M dagency.08 - EM Agency ervice Area ZIP Codes, L dagency.09 - Primary Type of ervice M dagency.11 - Level of ervice M dagency.12 - Organization tatus M dagency.13 - Organizational Type M dagency.14 - EM Agency Organizational Tax tatus M 1 : M dagency.agencyyeargroup dagency.15 - tatistical Calendar Year M dagency.16 - Total Primary ervice Area ize, L dagency.17 - Total ervice Area Population, L dagency EM Call Center Volume per Year, L dagency.19 - EM Dispatch Volume per Year, L dagency.20 - EM Patient Transport Volume per Year, L dagency.21 - EM Patient Contact Volume per Year, L 1 : M dagency.25 - ational Provider Identifier, L 1 : M dagency.26 - Fire Department ID umber, L dagency Published: 07/13/ Page 6

21 EMI Version CP2 dagency.01 tate ational dagency.01 - EM Agency Unique tate ID The unique ID assigned to the EM Agency which is associated with all state licensure numbers and information. ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values o Version 2 Element Is illable o Usage Mandatory ecurrence Airway Cardiac Arrest Pediatric esponse TEMI troke Trauma Constraints Data Type string minlength 1 maxlength 50 This may be the EM Agency ame or a unique number assigned by the state EM office. This is required to document multiple license types and numbers associated with the same EM Agency. Published: 07/13/ Page 7

22 EMI Version CP2 dagency.02 tate ational dagency.02 - EM Agency umber The state-assigned provider number of the responding agency ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values o Version 2 Element D01_01 Is illable o Usage Mandatory ecurrence Airway Cardiac Arrest Pediatric esponse TEMI troke Trauma Constraints Data Type string minlength 1 maxlength 15 This is the primary identifier for the entire Demographic ection. Each of the Demographic sections must be associated with an EM Agency umber. An EM Agency can have more than one Agency umber within a state. This reflects the ability for an EM Agency to have a different number for each service type or location (based on state implementation). The EM Agency umber in dagency.02 can be used to auto-populate eesponse.01 EM Agency umber in the EM Event section. Published: 07/13/ Page 8

23 EMI Version CP2 dagency.04 tate ational dagency.04 - EM Agency tate The state/territory which assigned the EM agency number. ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values o Version 2 Element D01_03 Is illable o Usage Mandatory ecurrence Airway Cardiac Arrest Pediatric esponse TEMI troke Trauma Constraints Pattern [0-9]{2} This has been clarified to reflect that it is the state in which the EM Agency resides and the state associated with the EM Agency number. GI Codes Website: Published: 07/13/ Page 9

24 EMI Version CP2 dagency.05 tate ational dagency.05 - EM Agency ervice Area tates The states in which the EM Agency provides services including the state associated with the EM Agency umber. ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values o Version 2 Element Is illable o Usage Mandatory ecurrence Constraints Pattern [0-9]{2} Each state is captured as a group where the EM agency provides service. The group includes dagency.05, dagency.06, dagency.07, and Agency.08. Element added to document all of the states in which the EM agency provides services. Each state listed is associated with the counties, census tracts, and ZIP codes within the EM Agency ervice Area for each state. GI Codes Website: Published: 07/13/ Page 10

25 EMI Version CP2 dagency.06 tate ational dagency.06 - EM Agency ervice Area County(ies) The county(ies) within each state for which the agency formally provides service. ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values o Version 2 Element D01_04 Is illable o Usage Mandatory ecurrence 1 : M Airway Cardiac Arrest Pediatric esponse TEMI troke Trauma Constraints Pattern [0-9]{5} Each state listed is associated with the counties, census tracts, and ZIP codes within the EM Agency ervice Area for each state. County codes are based on IO/AI codes. It is a 5-digit code based on state (2-digit) and county (3-digit). GI Codes Website: Published: 07/13/ Page 11

26 EMI Version CP2 tate dagency.07 ational dagency.07 - EM Agency Census Tracts The U census tracts in which the EM agency formally provides service. ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values Yes Version 2 Element Is illable Yes Usage equired ecurrence 1 : M OT Values (V) ot Applicable Constraints Pattern [0-9]{11} ot ecorded This data element was added to better document the service area of the EM Agency. Each state listed is associated with the counties, census tracts, and ZIP codes within the EM Agency ervice Area for each state. The format of the census tract number must be an 11-digit number, based upon the 2010 census, using the pattern: 2-digit tate Code 3-digit County Code 6-digit Census Tract umber (no decimal) Example: EMI TAC office (UT, alt Lake County, Census Tract - located at 295 Chipeta Way, alt Lake City, UT) Census Tract Data Website (files and descriptions): Published: 07/13/ Page 12

27 EMI Version CP2 tate dagency.08 ational dagency.08 - EM Agency ervice Area ZIP Codes The ZIP codes for the EM Agency's service area. ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values Yes Version 2 Element Is illable Yes Usage equired ecurrence 1 : M Airway Cardiac Arrest Pediatric esponse TEMI troke Trauma OT Values (V) ot Applicable Constraints ot ecorded Pattern [0-9]{5} [0-9]{5}-[0-9]{4} [0-9]{5}-[0-9]{5} [A-Z][0-9][A-Z] [0-9][A-Z][0-9] This data element was added to better document the service area of the EM Agency. Each state listed is associated with the counties, census tracts, and ZIP codes within the EM Agency ervice Area for each state. Zip Codes Product Website: Product: UA - 5-digit ZIP Code Database, Commercial Edition Published: 07/13/ Page 13

28 EMI Version CP2 tate dagency.09 ational dagency.09 - Primary Type of ervice The primary service type provided by the agency. ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values o Version 2 Element D01_05 Is illable o Usage Mandatory ecurrence Airway Cardiac Arrest Pediatric esponse TEMI troke Trauma Code List Code Description esponse (cene) with Transport Capability esponse (cene) without Transport Capability Air Medical AL Intercept Hazmat Medical Transport (Convalescent, Interfacility Transfer Hospital and ursing Home) escue Community Paramedicine Critical Care (Ground) The Primary Type of ervice is associated with each of the EM Agency umbers. Published: 07/13/ Page 14

29 EMI Version CP2 tate dagency.11 ational dagency.11 - Level of ervice The level of service which the agency provides EM care for every request for service (the minimum certification level). This may be the license level granted by the state EM office. ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values o Version 2 Element D01_07 Is illable o Usage Mandatory ecurrence Airway Cardiac Arrest Pediatric esponse TEMI troke Trauma Code List Code Description Advanced Emergency Medical Technician (AEMT) Emergency Medical esponder (EM) Emergency Medical Technician (EMT) Paramedic First esponder EMT-Basic EMT-Intermediate EMT-Paramedic Physician Critical Care Paramedic Community Paramedicine urse Practitioner Physician Assistant Licensed Practical urse (LP) egistered urse The Level of ervice is associated with the specific EM Agency umber (dagency.02) for the EM Agency. For example a BL licensed ambulance service (EMT-Basic) with EMT-Intermediate or EMT-Paramedic on staff, the appropriate level of service is "EMT-Basic". This is because the care provided to patients is limited to BL skills. The category EMT-Intermediate includes EM professionals with an "85" or "99" certification level. Published: 07/13/ Page 15

30 EMI Version CP2 tate dagency.12 ational dagency.12 - Organization tatus The primary organizational status of the agency. The definition of Volunteer or on-volunteer is based on state or local definitions. ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values o Version 2 Element D01_09 Is illable o Usage Mandatory ecurrence Airway Cardiac Arrest Pediatric esponse TEMI troke Trauma Code List Code Description Mixed on-volunteer Volunteer The Organizational tatus is associated with the EM Agency and the specific EM Agency umber (dagency.02). Published: 07/13/ Page 16

31 EMI Version CP2 tate dagency.13 ational dagency.13 - Organizational Type The organizational structure from which EM services are delivered (fire, hospital, county, etc.) ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values o Version 2 Element D01_08 Is illable o Usage Mandatory ecurrence Airway Cardiac Arrest Pediatric esponse TEMI troke Trauma Code List Code Description Fire Department Governmental, on-fire Hospital Private, onhospital Tribal Organizational Type is associated with the EM Agency and the specific EM Agency umber (dagency.02). Published: 07/13/ Page 17

32 EMI Version CP2 tate dagency.14 ational dagency.14 - EM Agency Organizational Tax tatus The EM Agencies business/corporate organizational tax status ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values o Version 2 Element Is illable o Usage Mandatory ecurrence Airway Cardiac Arrest Pediatric esponse TEMI troke Trauma Code List Code Description For Profit Other (e.g., Government) ot For Profit Associated with the EM Agency for the specific EM Agency umber (dagency.02). Published: 07/13/ Page 18

33 EMI Version CP2 dagency.15 tate ational dagency.15 - tatistical Calendar Year The calendar year to which the information pertains for the EM Agency and the specific EM Agency umber (dagency.02). ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values o Version 2 Element D01_10 Is illable o Usage Mandatory ecurrence Constraints Data Type integer mininclusive 1900 maxinclusive 2050 Added Calendar Year to the definition to remove confusion noted in draft comments. Will allow multiple entry to allow data to be stored on several years. This statistical information is associated with the EM Agency's specific EM Agency umber (dagency.02) and elements dagency.16 through dagency.22 Published: 07/13/ Page 19

34 EMI Version CP2 tate dagency.16 ational dagency.16 - Total Primary ervice Area ize The total square miles in the agency's service area. ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values Yes Version 2 Element D01_12 Is illable Yes Usage equired ecurrence Airway Cardiac Arrest Pediatric esponse TEMI troke Trauma OT Values (V) ot Applicable Constraints Data Type positiveinteger mininclusive ot ecorded maxinclusive 4,000,000 This statistical information is associated with the EM Agency's specific EM Agency umber (dagency.02). A value should be associated with each with (dagency.15) tatistical Calendar Year Published: 07/13/ Page 20

35 EMI Version CP2 tate dagency.17 ational dagency.17 - Total ervice Area Population The total population in the agency's service area based if possible on year 2010 census data. ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values Yes Version 2 Element D01_13 Is illable Yes Usage equired ecurrence Airway Cardiac Arrest Pediatric esponse TEMI troke Trauma OT Values (V) ot Applicable Constraints Data Type positiveinteger mininclusive ot ecorded maxinclusive 4,000,000 This statistical information is associated with the EM Agency's specific EM Agency umber (dagency.02). A value should be associated with each with (dagency.15) tatistical Calendar Year. Published: 07/13/ Page 21

36 EMI Version CP2 tate dagency.18 ational dagency EM Call Center Volume per Year The number of 911 calls received by the call center during the last calendar year ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values Yes Version 2 Element D01_14 Is illable Yes Usage equired ecurrence Airway Cardiac Arrest Pediatric esponse TEMI troke Trauma OT Values (V) ot Applicable Constraints Data Type positiveinteger mininclusive ot ecorded maxinclusive 4,000,000 This statistical information is associated with the EM Agency's specific EM Agency umber (dagency.02). A value should be associated with each with (dagency.15) tatistical Calendar Year. Version 3 Changes Implemented ame Clarified with "Call Center" Published: 07/13/ Page 22

37 EMI Version CP2 tate dagency.19 ational dagency.19 - EM Dispatch Volume per Year The number of EM dispatches during the last calendar year ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values Yes Version 2 Element D01_15 Is illable Yes Usage equired ecurrence Airway Cardiac Arrest Pediatric esponse TEMI troke Trauma OT Values (V) ot Applicable Constraints Data Type positiveinteger mininclusive ot ecorded maxinclusive 4,000,000 This statistical information is associated with the EM Agency's specific EM Agency umber (dagency.02). A value should be associated with each with (dagency.15) tatistical Calendar Year. Published: 07/13/ Page 23

38 EMI Version CP2 tate dagency.20 ational dagency.20 - EM Patient Transport Volume per Year The number of EM transports per year based on last calendar year. ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values Yes Version 2 Element D01_16 Is illable Yes Usage equired ecurrence Airway Cardiac Arrest Pediatric esponse TEMI troke Trauma OT Values (V) ot Applicable Constraints Data Type positiveinteger mininclusive ot ecorded maxinclusive 4,000,000 This statistical information is associated with the EM Agency's specific EM Agency umber (dagency.02). A value should be associated with each with (dagency.15) tatistical Calendar Year. Published: 07/13/ Page 24

39 EMI Version CP2 tate dagency.21 ational dagency.21 - EM Patient Contact Volume per Year The number of EM patient contacts per year based on last calendar year. ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values Yes Version 2 Element D01_17 Is illable Yes Usage equired ecurrence Airway Cardiac Arrest Pediatric esponse TEMI troke Trauma OT Values (V) ot Applicable Constraints Data Type positiveinteger mininclusive ot ecorded maxinclusive 4,000,000 This statistical information is associated with the EM Agency's specific EM Agency umber (dagency.02). A value should be associated with each with (dagency.15) tatistical Calendar Year. Published: 07/13/ Page 25

40 EMI Version CP2 tate dagency.25 ational dagency.25 - ational Provider Identifier The ational Provider Identifier issued by CM. ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values Yes Version 2 Element D01_21 Is illable Yes Usage equired ecurrence 1 : M OT Values (V) ot Applicable Constraints Data Type string length ot ecorded Only EM Agencies billing for service will have an PI number. CM (Centers for Medicare and Medicaid ervices) PI egistry lookup: Published: 07/13/ Page 26

41 EMI Version CP2 tate dagency.26 ational dagency.26 - Fire Department ID umber The state assigned Fire Department ID umber for EM Agency(ies) operating within a Fire Department. ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values Yes Version 2 Element Is illable Yes Usage equired ecurrence 1 : M OT Values (V) ot Applicable Constraints Data Type string minlength ot ecorded maxlength 20 Fire Department ID was added to better integrate Fire Department EM Agencies and linkage to other EM related data systems such as FI. Version 3 Changes Implemented Added to better associate Fire and EM licensure and operational identifiers. Published: 07/13/ Page 27

42 dconfiguration Published: 07/13/ Page 28

43 Legend Dataset Level: ational tate D Deprecated dconfiguration 1 : M dconfiguration.configurationgroup Usage: M = Mandatory, = equired, E = ecommended, or O = Optional : = ot Values, P = Pertinent egatives, L = illable, and/or C = Correlation ID dconfiguration.01 - tate Associated with the Certification/Licensure Levels M 1 : M dconfiguration.02 - tate Certification/Licensure Levels M 1 : M dconfiguration.03 - Procedures Permitted by the tate, L 1 : M dconfiguration.04 - Medications Permitted by the tate, L 1 : M dconfiguration.05 - Protocols Permitted by the tate, L 1 : M dconfiguration.proceduregroup dconfiguration.06 - EM Certification Levels Permitted to Perform Each Procedure M 1 : M dconfiguration.07 - EM Agency Procedures M 1 : M dconfiguration.medicationgroup dconfiguration.08 - EM Certification Levels Permitted to Administer Each Medication M 1 : M dconfiguration.09 - EM Agency Medications M 1 : M dconfiguration.10 - EM Agency Protocols M 1 : M dconfiguration.11 - EM Agency pecialty ervice Capability M dconfiguration.13 - Emergency Medical Dispatch (EMD) Provided to EM Agency ervice Area M 1 : M dconfiguration.15 - Patient Monitoring Capability(ies) M 1 : M dconfiguration.16 - Crew Call ign M dconfiguration Published: 07/13/ Page 29

44 EMI Version CP2 dconfiguration.01 tate ational dconfiguration.01 - tate Associated with the Certification/Licensure Levels The state associated with the state certification/licensure levels. ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values o Version 2 Element Is illable o Usage Mandatory ecurrence Constraints Pattern [0-9]{2} Associated with the state (dagency.01 - EM Agency tate). GI Codes Website: The state EM system does not need to import this information into their database. eference the Demographic Dataset ubmission Guide for further details. Published: 07/13/ Page 30

45 EMI Version CP2 dconfiguration.02 tate ational dconfiguration.02 - tate Certification/Licensure Levels All of the potential levels of certification/licensure for EM personnel recognized by the state. ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values o Version 2 Element D04_01 Is illable o Usage Mandatory ecurrence 1 : M Code List Code Description Advanced Emergency Medical Technician (AEMT) Emergency Medical esponder (EM) Emergency Medical Technician (EMT) Paramedic EMT-Basic EMT-Intermediate EMT-Paramedic First esponder Other Physician Critical Care Paramedic Community Paramedicine urse Practitioner Physician Assistant Licensed Practical urse (LP) egistered urse The new 2009 Education Levels have been added. The category EMT-Intermediate includes EM professionals with an "85" or "99" certification level. The state EM system does not need to import this information into their database. eference the Demographic Dataset ubmission Guide for further details. Published: 07/13/ Page 31

46 EMI Version CP2 dconfiguration.03 tate ational dconfiguration.03 - Procedures Permitted by the tate A list of all of the procedures permitted by the EM Agency's licensing state. ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values Yes Version 2 Element Is illable Yes Usage equired ecurrence 1 : M Airway Cardiac Arrest Pediatric esponse TEMI troke Trauma OT Values (V) ot Applicable Constraints Data Type integer maxinclusive ot ecorded mininclusive This data element should capture all of the procedures permitted by the state for any/all levels of EM personnel in the state. This is associated with the EM Agency tate (dagency.01). This is related to the EM Agency's procedures (dconfiguration.07) which have been implemented within the EM ystem. tate EM systems which have regulatory authority to determine the procedures statewide may identify OMEDCT procedure codes based on medical direction and their own need. Code list is represented in OMEDCT: eference the EMI uggested Lists at: OMEDCT Website: Product: Product - UML Metathesaurus The EM agency should submit "ot Applicable" and "il" to the state system for the demographic export. The state EM system does not need to import this information into their database. It is the responsibility of the state to submit this element to the national EM database (EMI). eference the Demographic Dataset ubmission Guide for further details. Published: 07/13/ Page 32

47 EMI Version CP2 dconfiguration.04 tate ational dconfiguration.04 - Medications Permitted by the tate A list of all of the medications permitted by the state to be used by each EM state certification/licensure level. ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values Yes Version 2 Element Is illable Yes Usage equired ecurrence 1 : M Airway Cardiac Arrest Pediatric esponse TEMI troke Trauma OT Values (V) ot Applicable Constraints Data Type string minlength ot ecorded maxlength 7 This data element should capture all of the medications permitted by the state for any/all levels of EM personnel in the state. This should be stored as an xorm (XCUI) Code. This is associated with the EM Agency tate (dagency.01). The EM agency should submit "ot Applicable" and "il" to the state system for the demographic export. The state EM system does not need to import this information into their database. It is the responsibility of the state to submit this element to the national EM database (EMI). eference the Demographic Dataset ubmission Guide for further details. Version 3 Changes Implemented tate EM systems which have regulatory authority to identify medications to be administered within the state may identify specific xorm codes based on medical direction and their own need. List of medications based on xorm (XCUI) code. eference the EMI uggested Lists at: xorm Website - Product - UML Metathesaurus Website - Product - xorm Full Monthly elease Published: 07/13/ Page 33

48 EMI Version CP2 dconfiguration.05 tate ational dconfiguration.05 - Protocols Permitted by the tate A list of all of the protocols permitted by the state. ational Element Yes Pertinent egatives (P) o tate Element Yes OT Values Yes Version 2 Element Is illable Yes Usage equired ecurrence 1 : M Airway Cardiac Arrest Pediatric esponse TEMI troke Trauma OT Values (V) ot Applicable Code List ot ecorded Code Description Airway Airway-Failed Airway-Obstruction/Foreign Body Airway-apid equence Induction (I-Paralytic) Airway-edation Assisted (on-paralytic) Cardiac Arrest-Asystole Cardiac Arrest-Hypothermia-Therapeutic Cardiac Arrest-Pulseless Electrical Activity Cardiac Arrest-Ventricular Fibrillation/ Pulseless Ventricular Tachycardia Cardiac Arrest-Post esuscitation Care Environmental-Altitude ickness Environmental-Cold Exposure Environmental-Frostbite/Cold Injury Environmental-Heat Exposure/Exhaustion Environmental-Heat troke/hyperthermia Environmental-Hypothermia Exposure-Airway/Inhalation Irritants Exposure-Biological/Infectious Exposure-Blistering Agents Exposure-Chemicals to Eye Exposure-Cyanide Exposure-Explosive/ Blast Injury Exposure-erve Agents Exposure-adiologic Agents General-Back Pain General-Behavioral/Patient estraint General-Cardiac Arrest General-Dental Problems General-Epistaxis General-Fever General-Individualized Patient Protocol General-Indwelling Medical Devices/Equipment General-IV Access General-Medical Device Malfunction General-Pain Control General-pinal Immobilization/Clearance General-Universal Patient Care/ Initial Patient Contact Injury-Amputation Injury-Bites and Envenomations-Land Injury-Bites and Envenomations-Marine Injury-Bleeding/ Hemorrhage Control Injury-Burns-Thermal Published: 07/13/ Page 34

49 Injury-Cardiac Arrest Injury-Crush yndrome Injury-Diving Emergencies Injury-Drowning/ear Drowning Injury-Electrical Injuries Injury-Extremity Injury-Eye Injury-Head Injury-Impaled Object Injury-Multisystem Injury-pinal Cord Medical-Abdominal Pain Medical-Allergic eaction/anaphylaxis Medical-Altered Mental tatus Medical-Bradycardia Medical-Cardiac Chest Pain Medical-Diarrhea Medical-Hyperglycemia Medical-Hypertension Medical-Hypoglycemia/Diabetic Emergency Medical-Hypotension/hock (on-trauma) Medical-Influenza-Like Illness/ Upper espiratory Infection Medical-ausea/Vomiting Medical-ewborn/ eonatal esuscitation General-Overdose/Poisoning/Toxic Ingestion Medical-Pulmonary Edema/CHF Medical-espiratory Distress/Asthma/COPD/eactive Airway Medical-eizure Medical-T-Elevation Myocardial Infarction (TEMI) Medical-troke/TIA Medical-upraventricular Tachycardia (Including Atrial Fibrillation) Medical-yncope Medical-Ventricular Tachycardia (With Pulse) ot Done OB/GY-Childbirth/Labor/Delivery OB/GY-Eclampsia OB/GY-Gynecologic Emergencies OB/GY-Pregnancy elated Emergencies OB/GY-Post-partum Hemorrhage Other Exposure-Carbon Monoxide Cardiac Arrest-Do ot esuscitate Cardiac Arrest-pecial esuscitation Orders Exposure-moke Inhalation General-Community Paramedicine / Mobile Integrated Healthcare General-Exception Protocol General-Extended Care Guidelines General-Interfacility Transfers General-Law Enforcement - Blood for Legal Purposes General-Law Enforcement - Assist with Law Enforcement Activity General-eglect or Abuse uspected General-efusal of Care Injury-Mass/Multiple Casualties Injury-Thoracic Medical-Adrenal Insufficiency Medical-Apparent Life Threatening Event (ALTE) Medical-Tachycardia Cardiac Arrest-Determination of Death / Withholding esuscitative Efforts Injury-Conducted Electrical Weapon (e.g., Taser) Injury-Facial Trauma Injury-General Trauma Management Injury-Lightning/Lightning trike Injury-CUBA Injury/Accidents Injury-Topical Chemical Burn Medical-Beta Blocker Poisoning/Overdose Medical-Calcium Channel Blocker Poisoning/Overdose Medical-Opioid Poisoning/Overdose Medical-espiratory Distress-Bronchiolitis Medical-espiratory Distress-Croup Published: 07/13/ Page 35

50 Medical-timulant Poisoning/Overdose This data element should capture all of the protocols permitted by the state for any/all levels of EM personnel in the state. This is associated with the EM Agency tate (dagency.01). tates can add additional protocols to the list but the additional state protocols must map to these uniform codes. The list is defined by the AEMO tate Medical Directors. The EM agency should submit "ot Applicable" and "il" to the state system for the demographic export. The state EM system does not need to import this information into their database. It is the responsibility of the state to submit this element to the national EM database (EMI). eference the Demographic Dataset ubmission Guide for further details. Version 3 Changes Implemented Added to better identify states with statewide protocols and define state EM capability and care. Published: 07/13/ Page 36